Organization Active NPI

Suburban Diagnostic Clinic LLC

  • Radiology Clinic/Center
  • Toledo, OH
National Provider Identifier
1104166966
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SUBURBAN DIAGNOSTIC CLINIC LLC
Practice address
3830 Woodley Rd
Suite a
Toledo, OH 43606-1177
Phone
(419) 841-7766
NPI assigned
Feb 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allie Galovich, CPC
Title
Biller
Phone
(248) 593-9780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

3830 Woodley Rd
Suite a
Toledo, OH 43606-1177

Mailing address

3830 Woodley Rd
Suite a
Toledo, OH 43606-1177
Phone (419) 841-7766

Other names 1

  • Sylvania Ultrasound Institute Doing business as

National Provider Directory

National Provider Directory

Locations

3830 Woodley Rd
Toledo, OH 43606
Phone (419) 472-1636

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1104166966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 WOODLEY RD",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061177",
            "telephone_number": "419-841-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WOODLEY RD",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061177",
            "telephone_number": "419-841-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN DIAGNOSTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "GALOVICH",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "248-593-9780",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sylvania Ultrasound Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.